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당뇨병성 족부질환에 동반된 방사선 유발 말초동맥질환
Radiation Induced Peripheral Arterial Disease associated with Diabetes which Initially Considered as Diabetic Foot Disease

Journal of Korean Diabetes 2014년 15권 2호 p.124 ~ p.128

이원형(Lee Weon-Hyoung) - 고신대학교 의과대학 복음병원 내분비대사내과
허재준(Heo Jae-Joon) - 고신대학교 의과대학 복음병원 내분비대사내과
여고은(Yeo Go-Eun) - 고신대학교 의과대학 복음병원 내분비대사내과
최영식(Choi Young-Sik) - 고신대학교 의과대학 복음병원 내분비대사내과
박요한(Park Yo-Han) - 고신대학교 의과대학 복음병원 내분비대사내과
권수경(Kwon Su-Kyoung) - 고신대학교 의과대학 복음병원 내분비대사내과

Abstract

Therapeutic high-dose radiation can induce atherosclerotic changes of affected arteries. Radiation-associated atherosclerotic diseases of coronary, carotid and subclavian arteries have been demonstrated for years in cancer survivors, but peripheral arterial disease (PAD) associated with radiation is rarely reported. PAD is one of the major
macrovascular complications of diabetes and is associated with morbidity and increased mortality. We experienced
a case of PAD associated with radiation therapy in a 65-year-old diabetic female patient who had undergone cervical cancer treatment 19 years prior. Computed tomographic angiogram showed occlusion and stenosis from common iliac arteries to superficial femoral arteries. However, both infrapopliteal arteries that are commonly involved in diabetes associated PAD were preserved. She was successfully treated with percutaneous angioplasty combined with femoro-femoral bypass operation. Based on the extent and severity of arterial stenosis in this nonsmoking diabetic woman who had a history of high-dose radiation to her pelvis, we concluded that atherosclerotic lesions in this patient were caused by high-dose pelvic irradiation and then exacerbated by diabetes. Therefore, special attention should be given to diabetic patients with history of pelvic irradiation with regard to development of atherosclerosis of peripheral arteries, especially in the pelvic area.

키워드

Peripheral arterial disease, Diabetes mellitus, Radiation, Diabetic foot

KMID : 1030220140150020124

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DOI

KCD코드

ICD 03

건강보험코드

당뇨병성 족부질환에 동반된 방사선 유발 말초동맥질환 Radiation Induced Peripheral Arterial Disease associated with Diabetes which Initially Considered as Diabetic Foot Disease

Abstract

키워드

당뇨병성 족부질환에 동반된 방사선 유발 말초동맥질환
Radiation Induced Peripheral Arterial Disease associated with Diabetes which Initially Considered as Diabetic Foot Disease